27th February 2025

A 53-year-old lady of Lithuanian origin has recently emigrated to the UK

A 53-year-old lady of Lithuanian origin has recently emigrated to the UK. She is finding her job increasingly difficult due to muscle aches and pains.

Blood results reveal a moderate hypercalcaemia with a low PTH. 

On further questioning, she describes some shortness of breath on exertion and an ongoing cough, which has not settled for several months. A chest X-ray shows fibronodular opacities in the upper lobes. She is referred to the respiratory team for further investigation and management of suspected TB. 

Which of the following options is the most appropriate for management of this lady’s symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.